Individual
RODRIGO LOPEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3906 S 27TH ST, MILWAUKEE, WI 53221-1826
(414) 281-3444
Mailing address
907 W TAYLOR ST, BLOOMINGTON, IL 61701-4912
(309) 287-3153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160010327
IL
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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